Individual
MS. LINDA M. FENSKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
4229 54TH AVE, KENOSHA, WI 53144-1872
(262) 945-6864
Mailing address
4229 54TH AVE, KENOSHA, WI 53144-1872
(262) 945-6864
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
17654-031
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38205700
—
WI
Enumeration date
01/12/2007
Last updated
07/09/2007
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